When addressing the needs of a client with a newly diagnosed spinal cord injury, the nurse understands that which of the following are true about nutritional needs?

The client will be NPO until fitted for a halo vest

A high calorie, high protein diet will be started within 3 days

High fiber and decreased protein is needed immediately after injury

Low fiber and no protein is needed 2 days after the injury

Answer and Explanation

The Correct Answer is B

Choice A Rationale: Keeping the client NPO until fitted for a halo vest is not a standard practice, and nutritional support should be initiated as soon as possible.

Choice B Rationale: A high-calorie, high-protein diet is typically started within 3 days of a spinal cord injury to support healing and prevent muscle wasting.

Choice C Rationale: High fiber and decreased protein are not the immediate dietary needs after a spinal cord injury. High protein intake is important for tissue repair.

Choice D Rationale: Low fiber and no protein would not be recommended 2 days after a spinal cord injury, as protein intake is crucial for healing and recovery.

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Correct Answer is D

Explanation

Choice A Rationale: Checking the patient's orientation to time and date is a part of assessing cognitive function but is not specific to the Mini-Cog exam.

Choice B Rationale: Obtaining a list of the patient's prescribed medications is important for the overall assessment but is not specific to the Mini-Cog exam.

Choice C Rationale: Determining the patient's ability to recognize a common object is not a component of the Mini-Cog exam.

Choice D Rationale: Asking the patient to draw a clock with a specific time is a key component of the Mini-Cog exam, which assesses cognitive impairment and is commonly used to screen for Alzheimer's disease.

A. A "He didn't remember the neighbor's name after I introduced them at the picnic" B "He discarded the utility bills but never paid them" B. C "He has been retired for 5 years but keeps talking about how excited he is to start his new job C. D "He forgets he read the newspaper and reads it over all day" D. E "found his car keys in the refrigerator and his shoes in the microwave"

Correct Answer is ["A","B","C","D","E"]

Explanation

Choice A Rationale: Forgetting names and faces, especially when previously introduced, can be a sign of memory impairment, which is common in Alzheimer's disease. Choice B Rationale: Neglecting bills and financial responsibilities is a sign of impaired executive function, which can occur in Alzheimer's disease.

Choice C Rationale: Mentioning excitement about starting a new job after retirement is a typical sign of Alzheimer's disease.

Choice D Rationale: Repeatedly forgetting that one has already read the newspaper and reading it again can be a sign of short-term memory loss, a characteristic of Alzheimer's disease.

Choice E Rationale: Placing car keys in unusual places and misplacing items like shoes in unexpected locations can be signs of disorientation and memory problems, which are common in Alzheimer's disease.

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When addressing the needs of a client with a newly diagnosed spinal cord injury, the nurse understands that which of the following are true about nutritional needs?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When administering the Mini-Cog exam to a patient with possible Alzheimer's disease, which action will the nurse take?

Correct Answer is D

Explanation

A family member arrives with a client indicating that they are concerned that the client is developing Alzheimer's disease. Which of the following items described by the family member are signs of Alzheimer's Disease? Select All that Apply

Correct Answer is ["A","B","C","D","E"]

Explanation

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